Effective Health Service Delivery YHM 09
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  • 1. Meeting the health and well being needs of homeless & at-risk young people: Effective health service delivery in NSW Emma Marshall NSW Association for Adolescent Health (NAAH) Youth Homelessness Matters Conference October 2009
  • 2. NSW Association for Adolescent Health (NAAH)
    • About NAAH
    • Peak body for youth health sector in NSW
    • Committed to promoting and advocating for the health and well being needs of marginalised young people aged 12 to 25 years
    • Membership organisation
  • 3. About NAAH
    • Guiding Principles:
    • Work on behalf of NSW youth health sector
    • Promote and support youth health services
    • Advocacy
    • Inform and influence policy
    • Resources, training & skill development
  • 4. Who are marginalised young people in our society?
    • All young people aged 12 to 25 years who are:
    • Homeless or at risk of homelessness ;
    • Socially isolated;
    • Socio-economically disadvantaged;
    • Aboriginal and Torres Strait Islander;
    • Refugees;
    • Gay, lesbian, bisexual, transgender or intersex;
    • Living in regional and rural areas;
    • At risk of, or experiencing mental health issues;
    • At risk of, or experiencing alcohol and other drug problems;
    • Experiencing dual diagnosis;
    • In contact with the criminal justice system;
    • Victims of crime;
    • Living with a history of abuse, neglect and/or trauma; and
    • Experiencing family breakdown.
  • 5. Specialised and targeted health services in NSW for marginalised young people
    • Youth Health Services in NSW
    • Provide free, specialised services for marginalised, homeless and at-risk young people
    • Take a social view of health , acknowledging issues such as housing, education, employment, racism and poverty impact health status
    • Located in areas of extreme disadvantage
    • Implement ‘one stop shop’ model and youth health model: holistic approach and prevention and early intervention strategies
  • 6. Youth Health Model
    • Holistic approach: acknowledging other issues that impact health (housing, education, employment, racism, poverty)
    • Focus on prevention and early intervention
    • “Soft” points of contact to engage with hard-to-reach young people
    • Multidisciplinary teams
    • Cross sector collaboration
    • Accessibility
    • “One stop shop”
  • 7. Types of services offered
    • Focus on prevention and early intervention
    • Free primary health care
    • Legal and accommodation services
    • Food – breakfast programs
    • Drop in
    • Outreach
    • Bathroom, shower and laundry facilities
    • Computer and internet facilities
    • Music and art programs
    • Education and training workshops
    • Provides referrals and access to legal, housing, education and employment and financial services
  • 8. The Warehouse Youth Health Service
  • 9. The Warehouse
  • 10. High St Youth Health Service
  • 11. High St Youth Health Service
  • 12. High St Youth Health Service
  • 13. Research
    • Of the group of young people accessing the youth health service:
      • Disadvantaged background
      • Present with health related problems
      • Experience environmental challenges
      • Personal strengths and capabilities
  • 14. Results – disadvantaged background
    • More than 65% of young people limited access to mainstream health services
    • Cultural background
    • Disability
    • Sexual orientation
    • Education attainment
    • Unemployment
    • Parental employment
    • Accommodation stability
  • 15. Results – health related problems
    • Majority of young people had one or more health related problems
    • Physical/emotional/sexual safety
    • Substance abuse
    • Sexual health practices
    • Illness/disease management
    • Mental health
    • Self management/personal safety
    • Emotional health management
  • 16. Results – environmental challenges
    • 80% presented with environmental challenges
    • Economic security
    • Educational involvement
    • Employment stability
    • Accommodation stability
    • Use of primary health care providers
    • Support from adults
    • Peer relationships
  • 17. Results – personal capabilities and strengths
    • Services significantly improved participant’s coping skills
    • Communication skills
    • Empathy
    • Problem solving
    • Optimism
    • Sense of purpose
  • 18. Summary
    • 15 youth health services in NSW
    • Young people aged 12 to 25 years
    • Holistic approach to health
    • Free primary health care services
    • Drop in services
    • Work in collaboration with housing, education and legal services
  • 19. Summary: Best practice youth health service delivery
    • Promotion of holistic, social view of health
    • Easily accessible (geographically and structurally) and available at times suitable to young people
    • Free
    • Culturally appropriate - “youth-friendly” and respectful in engagement strategies;
    • Youth participation and consultation with young people
  • 20. Summary: Best practice youth health service delivery
    • Respectful of confidentiality and privacy;
    • Cross sector collaboration;
    • Training and professional development opportunities;
    • Advocacy for marginalised young people;
  • 21. Contact Details
    • Emma Marshall
    • Executive Officer
    • NSW Association for Adolescent Health
    • [email_address]
    • (02) 9351 0956
    • PO Box M178
    • Missenden Road NSW 2050
    • www.naah.org.au